Insitu hybridization (fish) at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$664.80
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$1,108.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$84.26 with United Healthcare Community Plan for Families vs $941.80 with Multiplan — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $84.26 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $113.62 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicaid | $144.30 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $147.71 | ↓ -78% |
| Prime Net | Managed Medicare | $151.80 | ↓ -77% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $154.75 | ↓ -77% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $162.29 | ↓ -76% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $162.29 | ↓ -76% |
| Humana | Medicare | $163.93 | ↓ -75% |
| Geisinger | Medicaid/CHIP | $165.50 | ↓ -75% |
| Aetna | Medicare | $170.98 | ↓ -74% |
| Geisinger | Medicare | $172.13 | ↓ -74% |
| Cigna | Medicare | $172.13 | ↓ -74% |
| United Healthcare | Medicare | $175.41 | ↓ -74% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $177.04 | ↓ -73% |
| PA Health & Wellness | PA Medicaid HMO | $193.63 | ↓ -71% |
| UPMC Work Partners | Workers Comp | $204.48 | ↓ -69% |
| Keystone Health Plan | Medicare Advantage | $221.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $221.60 | ↓ -67% |
| Keystone Autism Services | ACAP | $262.29 | ↓ -61% |
| Prime Net | Legacy Commercial | $432.12 | ↓ -35% |
| Aetna | ACO | $435.44 | ↓ -35% |
| Prime Net | ACO | $435.44 | ↓ -35% |
| Highmark BCBS of PA | Community Blue PPO | $461.07 | ↓ -31% |
| Highmark BCBS of PA | CHIP - Managed Care | $480.58 | ↓ -28% |
| Highmark BCBS of PA | Commercial | $512.30 | ↓ -23% |
| Prime Net | NonGateKeeper | $515.22 | ↓ -23% |
| Aetna | Commercial | $518.54 | ↓ -22% |
| Prime Net | GateKeeper | $518.54 | ↓ -22% |
| Cigna | Commercial | $563.00 | ↓ -15% |
| Capital Blue Cross | CHIP | $606.08 | ↓ -9% |
| Keystone Health Plan | Commercial | $606.08 | ↓ -9% |
| Capital Blue Cross | Commercial | $606.08 | ↓ -9% |
| Wellspan Population Health | PPO | $720.20 | ↑ +8% |
| Geisinger | Commercial | $725.52 | ↑ +9% |
| UPMC Health Plan | Commercial | $775.60 | ↑ +17% |
| UPMC Health Plan | CHIP | $811.16 | ↑ +22% |
| Prime Net | FH-Medical Rental | $837.65 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $941.80 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Insitu hybridization (fish) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $664.80 | $84.26 – $941.80 |
| UPMC Somerset | Somerset | $664.80 | $53.80 – $195.39 |
| UPMC Williamsport | Williamsport | $255.60 | $82.33 – $215.84 |
| Uniontown Hospital | Uniontown | $82.00 | $70.75 – $384.78 |